POM III - Adolescent Medicine - Exam 1

thelarche

what is the first sign of female puberty?

10 years old

when is the average onset of breast development in females?

12.5 years old

when is the average onset of menarche?

21-35 days

what is the average length of menses?

3-7 days

what is the average duration of menstrual cycle?

30cc

what is the average blood loss during menstrual period?

4

SMR stage _____ is the hallmark of puberty in males

testicular enlargement

what is the first sign of puberty in males?

12 years old

at what age is the onset of testicular enlargement?

SMR 3 (1 yr after puberty onset)

what is the onset of sperm development in males?

Breast Asymmetry

Normal up to 1 cup size difference

Physiological Leukorrhea

Normal onset of discharge prior to menarche

Irregular Menses

Normal for first 2 years after onset of menses

Gynecomastia

Can be unilateral or bilateral 

More common in early SMR stages

Most often < 4 cm

Occurs in > 50% of youth

Majority self-resolves

Adolescent Patients - Confidentiality

When teenagers are offered confidential care, they will seek it 

Practice confidentiality as much as possible when working with an adolescent/teenager patient

Adolescent Patients - Communication

Remember what it was like to be a teenager

Fear is common

Be willing to spend time and talk privately

Ask a lot of questions, get to know them

Use humor appropriately

You are not cool, don’t try to be

Be genuine